Survey Paints Picture of Substance Abuse Treatment Facilities
On any given day, approximately 1 million people are receiving
treatment for drug or alcohol addiction, according to SAMHSA's
National Survey of Substance Abuse Treatment Services for the year
2000. The large majority of these clients (89 percent) were enrolled
in some type of outpatient care.
The purpose of the annual survey, conducted by SAMHSA's
Office of Applied Studies, is to collect data on the location, characteristics,
and use of alcoholism and drug treatment facilities and services
throughout the 50 states, the District of Columbia, and other U.S.
jurisdictions. A total of 13,428 facilities (94 percent of eligible
facilities) participated in the survey. The survey was conducted
on October 1, 2000.
Nearly half (48 percent) of all clients were in treatment for
both alcohol and drug abuse. Twenty-nine percent of clients were
in treatment for drug abuse only, while the remaining 23 percent
were in treatment for alcohol abuse only.
Nine percent of those in addiction treatment were in residential
rehabilitation. The remaining three categories (residential detoxification,
hospital inpatient rehabilitation, and hospital inpatient detoxification)
together accounted for 2 percent of clients.
In 2000, private non-profit facilities made up the bulk of the
system (60 percent), followed by private for-profit (26 percent),
and state and local government (11 percent). Outpatient rehabilitation
was the most widely available type of care, with non-intensive outpatient
rehabilitation offered by 78 percent of all facilities and intensive
outpatient treatment offered by 46 percent. Residential rehabilitation
was offered by 26 percent of all facilities. Partial hospitalization
programs were offered by 16 percent of facilities, and outpatient
detoxification by 13 percent. Residential detoxification and hospital
inpatient treatment (either detoxification or rehabilitation) were
each offered by 8 percent of all facilities.
The vast majority of facilities (95 percent) treated both alcohol
and drug abuse. They also offered treatment programs designed to
address the specific needs of certain groups. These groups include
dually diagnosed people (persons with mental illness and co-occurring
substance abuse), adolescents, persons with HIV/AIDS, older adults,
and pregnant or postpartum women. Special programs may also be designed
for groups of men or women (other than pregnant or postpartum women),
or persons in the criminal justice system. Many facilities offered
treatment for persons arrested while driving under the influence
of alcohol or drugs (DUI) or driving while intoxicated (DWI).
Overall, half (50 percent) of all facilities provide programs
for dually diagnosed people. About 37 percent of facilities offered
programs for adolescents. About one-fifth (22 percent) of facilities
offered programs for persons with HIV/AIDS. Programs for pregnant
or postpartum women were offered by 21 percent of facilities. Programs
for other women's groups were provided by 38 percent of facilities.
Programs for men only were provided by 33 percent of all facilities.
Eighteen percent of all facilities provided programs for seniors
or older adults. Thirty-eight percent of all facilities offered
programs for persons in the criminal justice system. Special programs
for those arrested for DUI/DWI were offered by 36 percent of all
The number of facilities that had managed care contracts continued
to increase. More than half (54 percent) of all facilities had managed
care contracts in 2000, as compared to 42 percent in 1996.
To obtain a copy of the report, National Survey of Substance
Abuse Treatment Services (N-SSATS): 2000, Data on Substance Abuse
Treatment Facilities, contact SAMHSA's National Clearinghouse
for Alcohol and Drug Information at P.O. Box 2345, Rockville, MD
20847. Telephone: 1 (800) 729-6686 (English and Spanish) or 1 (800)
487-4889 (TDD). The report can also be viewed from the SAMHSA Web
site at oas.samhsa.gov/newpubs.htm.
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